About
Dr. Tracy Paeschke is a board-certified cardiologist with dual board certification in Internal Medicine and Cardiovascular Disease. She holds Fellowship in the American College of Cardiology (FACC) and brings more than 25 years of clinical experience to her work in preventive cardiology. After two decades treating heart disease in traditional cardiology settings, she shifted her focus entirely to prevention. She founded Heart Health Prevention and Wellness to identify cardiovascular risk early and address the biological drivers of plaque progression before a cardiac event occurs.
Dr. Paeschke specializes in plaque-directed cardiovascular prevention, using advanced tools including ApoB and Lp(a) testing, hs-CRP and inflammatory marker panels, Coronary Calcium Scoring, CCTA with Cleerly AI, and CIMT imaging. She also incorporates wearable technology, continuous glucose monitoring, metabolic health evaluation, sleep health assessment, and nutrition counseling into her care plans. She holds memberships in the American Society for Preventive Cardiology, the American College of Lifestyle Medicine, the Physicians Committee for Responsible Medicine, and the Plantrician Project. Her clinical philosophy emphasizes whole-food, plant-based nutrition and lifestyle medicine as foundational tools for cardiovascular risk reduction. Patients consistently describe her as thorough, responsive, and unhurried.
Education & Training
Board-Certified in Internal Medicine & Cardiovascular Disease
Certifications
Conditions Treated
Who is Dr. Paeschke right for?
Dr. Paeschke works best with adults who want to understand and reduce their cardiovascular risk before symptoms develop. She is especially well-suited for patients with elevated ApoB, Lipoprotein(a), insulin resistance, metabolic syndrome, hypertension, or a family history of heart disease. Patients managing conditions like prediabetes, sleep apnea, or high inflammation markers benefit from her integrative approach. Her panel stays small, so patients who value direct access and unhurried appointments will feel at home here.
Frequently Asked Questions
Dr. Paeschke specializes in cardiovascular risk reduction and plaque-directed prevention. She treats coronary artery disease, atherosclerosis, high cholesterol, elevated ApoB, Lipoprotein(a) elevation, hypertension, insulin resistance, prediabetes, diabetes, metabolic syndrome, sleep apnea, atrial fibrillation, and heart failure. Her focus is identifying and addressing these conditions before they lead to a cardiac event.
Most cardiology practices focus on treating heart disease after symptoms appear. Dr. Paeschke focuses on identifying coronary plaque early and targeting the biological drivers of plaque progression. She uses advanced biomarkers and imaging tools that go well beyond standard cholesterol panels. Her goal is prevention, not reaction.
Yes. Dr. Paeschke holds board certification in both Internal Medicine and Cardiovascular Disease. She is also a Fellow of the American College of Cardiology (FACC) and has more than 25 years of clinical cardiology experience.
Dr. Paeschke uses a comprehensive set of advanced tools to assess cardiovascular risk. These include ApoB, Lipoprotein(a), hs-CRP, MPO, and Lp-PLA2 lab testing, along with Coronary Calcium Scoring, CCTA with Cleerly AI-powered software, and Carotid Intima-Media Thickness imaging. She also incorporates continuous glucose monitoring, 24-hour blood pressure monitoring with BioBeat, and TruAge biological age testing.
Yes. Dr. Paeschke places strong emphasis on lifestyle medicine as a core tool for cardiovascular risk reduction. She supports a whole-food, plant-based dietary approach and incorporates sleep health, metabolic evaluation, strength and fitness guidance, and nutrition counseling into her care plans. She also holds memberships in the American College of Lifestyle Medicine and the Plantrician Project.
Yes. Dr. Paeschke offers one-on-one health coaching as part of her practice. She also provides educational resources including a cardiovascular prevention newsletter, e-books on hypertension and cholesterol, and an online course called Heart Health Foundations.
The first step is scheduling a 15-minute introductory video visit through her online scheduling page. Dr. Paeschke conducts all appointments virtually. From there, she works with each patient to determine the best program or membership structure for their needs.
Dr. Paeschke sees adults who want to take a proactive approach to their heart health. Her patients often have known cardiovascular risk factors, a family history of heart disease, or metabolic conditions like insulin resistance and prediabetes. She also works with patients who have received a concerning result on a standard screening and want a deeper evaluation.
Doctor profile last updated August 17, 2026